Provider Demographics
NPI:1235386483
Name:SHEENA JONGENEEL L.AC.
Entity Type:Organization
Organization Name:SHEENA JONGENEEL L.AC.
Other - Org Name:SJ HEALING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEENA
Authorized Official - Middle Name:LISETTE
Authorized Official - Last Name:JONGENEEL
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNCTURIST
Authorized Official - Phone:310-388-7949
Mailing Address - Street 1:725 S BARRINGTON AVE APT 309
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-4586
Mailing Address - Country:US
Mailing Address - Phone:310-388-7949
Mailing Address - Fax:
Practice Address - Street 1:2811 WILSHIRE BLVD STE 540
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-4803
Practice Address - Country:US
Practice Address - Phone:310-388-7949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty